Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.77 / $27.54 / $55.08	Facility		$13.77	$27.54	$55.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $22.03 / $118.06	Professional		$13.77	$22.03	$118.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.04 / $115.13 / $197.44	Facility		$33.04	$115.13	$197.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $15.02 / $17.26	Professional		$9.76	$15.02	$17.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $11.93 / $11.93	Facility		$11.93	$11.93	$11.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $21.06 / $31.08	Professional		$10.28	$21.06	$31.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $10.10 / $10.10	Professional		$10.10	$10.10	$10.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $22.03 / $32.11	Facility		$14.63	$22.03	$32.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $18.36 / $31.08	Professional		$17.44	$18.36	$31.08
United Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $9.77 / $11.02	Professional		$7.71	$9.77	$11.02